ArticleBMJ open2017
Associations of participation in community assets with health-related quality of life and healthcare usage: a cross-sectional study of older people in the community.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Economic evidence related to the use of community assets in the management of frailty: a systematic review.Frontiers in public health · 2026Pooled it
- Factors affecting the sustainability of community mental health assets: A systematic review.Health & social care in the community · 2022Pooled it
- Slow public health: a temporal-relational framework for migration and aging in the Global South.Frontiers in public health · 2026Article
- Article
- The social capital penalty paid by teetotallers.SSM - population health · 2023Article
- Article
- Older adults' community participation, physical activity, and social interactions during and following COVID-19 restrictions in Australia: a mixed methods approach.BMC public health · 2023Article
- Online 'chats': fostering communitas and psychosocial support for people working across arts and play for health and wellbeing.Frontiers in psychology · 2023Article
- Complements or substitutes? Associations between volumes of care provided in the community and hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Community participation of community dwelling older adults: a cross-sectional study.BMC public health · 2021Observational
- Enhancing the multi-dimensional assessment of quality of life: introducing the WHOQOL-Combi.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Community asset participation and social medicine increases qualities of life.Social science & medicine (1982) · 2020Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundCommunity assets are promoted as a way to improve quality of life and reduce healthcare usage. However, the quantitative impact of participation in community assets on these outcomes is not known.
methodsWe examined the association between participation in community assets and health-related quality of life (HRQoL) (EuroQol-5D-5L) and healthcare usage in 3686 individuals aged ≥65 years. We estimated the unadjusted differences in EuroQol-5D-5L scores and healthcare usage between participants and non-participants in community assets and then used multivariate regression to examine scores adjusted for sociodemographic and limiting long-term health conditions. We derived the net benefits of participation using a range of threshold values for a quality-adjusted life year (QALY).
results50% of individuals reported participation in community assets. Their EuroQol-5D-5L scores were 0.094 (95% CI 0.077 to 0.111) points higher than non-participants. Controlling for sociodemographic characteristics reduced this differential to 0.081 (95% CI 0.064 to 0.098). Further controlling for limiting long-term conditions reduced this effect to 0.039 (95% CI 0.025 to 0.052). Once we adjusted for sociodemographic and limiting long-term conditions, the reductions in healthcare usage and costs associated with community asset participation were not statistically significant. Based on a threshold value of £20 000 per QALY, the net benefits of participation in community assets were £763 (95% CI £478 to £1048) per participant per year.
conclusionsParticipation in community assets is associated with substantially higher HRQoL but is not associated with lower healthcare costs. The social value of developing community assets is potentially substantial.
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